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1841500444
YULA GUADALUPE MATA
MEDFORD, OR
NPI
1841500444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C2196)
Enumeration Date
2010-10-15
Last Update Date
2017-01-27
Business Address
-- YULA GUADALUPE MATA MA, LPC
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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Mailing Address
-- YULA GUADALUPE MATA MA, LPC
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
Copy
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